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Locking of metacarpophalangeal joints in a patient with acromegaly
Authors:Y Tani  N Tanaka  Eiji Isoya
Institution:(1) Department of Orthopaedic Surgery, Soseikai General Hospital, Hiroosa-cho 1, Shimotoba, Fushimi-ku, Kyoto 612-8473, Japan, JP
Abstract:A 39-year-old man with acromegaly exhibited locking of metacarpophalangeal (MCP) joints of both index fingers. Large osteophytes were found at the metacarpal heads by radiography and computerized tomography (CT). Magnetic resonance (MR) images revealed hypertrophy of volar plates. We suggest that these characteristic acromegalic features caused locking of MCP joints. Surgery was required on one of the joints to release the locking. Received: 17 May 1999 Revision requested: 28 June 1999 Revision received: 19 July 1999 Accepted: 21 July 1999
Keywords:  Acromegaly  Locking  Metacarpophalangeal joint  Osteophyte  Volar plate hypertrophy  Radiography  MRI
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